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Policy Change:
<br />THEmd
<br />HARTFORD Business Owner's Policy
<br />The schedule associated with Waiver of Subrogation has been revised and modifies your Liability
<br />coverage.
<br />Person or Organizatio
<br />..
<br />City of Fontana, the City and it's officials, officers, employees, agents and/or
<br />8353 Sierra Ave, Fontana, CA 92335-3528
<br />volunteers Waiver Name Overflow
<br />City of Brea Waiver Name Overflow
<br />1 CIVIC CENTER CIR, BREA, CA 92821-
<br />57922
<br />Harper Construction Company, Inc. Waiver Name Overflow
<br />2241 Kettner Blvd, Ste 300 San Diego, CA
<br />92101-17692
<br />3100 McKinnon Street, Dallas, TX 75201
<br />Balfour Beatty Construction, LLC NAVFAC Southwest, NAVFAC Southwest
<br />Balfour Beatty Construction, LLC
<br />W.E. O'Neil Construction Co. of California Waiver Name Overflow
<br />300 North Continental Blvd., Suite 190 El
<br />Segundo, CA 90245
<br />City of Torrance Waiver Name Overflow
<br />3031 Torrance Blvd Torrance, CA 90503
<br />City of Santa Ana , its City Council, officers, officials, employees, agents, and
<br />215 S. Center St., M-85, Santa Ana, CA
<br />volunteers Water Resources M85 Waiver Name Overflow
<br />92701
<br />City of Encinitas Waiver Name Overflow
<br />505 S VULCAN AVE, ENCINITAS, CA 92024
<br />2H Construction, Inc Waiver Name Overflow
<br />2653 WALNUT AVE, SIGNAL HILL, CA
<br />90755
<br />City of Palos Verdes Estates Waiver Name Overflow
<br />340 PALOS VERDES DR W, PALOS
<br />VERDES ESTATES CA 90274-1270
<br />The City of Corona, its directors, officials, officers, employees, agents and
<br />400 S VICENTIA AVE CORONA, CA 92882
<br />volunteers Waiver Name Overflow
<br />City of Burbank PROCUREMENT SERVICES PO Box 6459
<br />301 East Olive Avenue, Ste 305 Burbank, CA
<br />91510-6459
<br />Pub Construction Inc, contractor and its officers, owners and employees, the
<br />Project Owner and all of its directors, property managers, employees, agents and
<br />23545 Palomino Drive, #104 Diamond Bar,
<br />representatives, including Architect and Architects consultants and all additional
<br />CA 91765
<br />parties named in the Contract
<br />411 W Ocean Boulevard 7th Floor, Long
<br />The City of Long Beach Waiver Name Overflow
<br />Beach, CA 90802
<br />Coachella Valley Water Disctict CVWD, its directors, officials, officers, employees,
<br />PO Box 1058 COACHELLA, CA 92236
<br />agents, and volunteers Waiver Name Overflow
<br />Record Steel & Construction Inc. dba RSCI and US Army Corps of Engineers, Los
<br />333 Rossi Street Suite 20, Boise, ID 83708
<br />Angeles District Waiver Name Overflow
<br />CITY OF BUENA PARK, CITY MANAGER, CITY HALL, ITS CITY, ELECTED
<br />6650 BEACH BLVD BUENA PARK CA
<br />OFFICIALS, OFFICERS, EMPLOYEES AND AGENTS Waiver Name Overflow
<br />90621-2985
<br />Hi -Tech Cabling, Inc., General Contractor AND project owner(s) Waiver Name
<br />1045 N. Armando St. #G I Anaheim, CA
<br />Overflow
<br />92806
<br />1200 E CALIFORNIA BLVD. PASADENA. CA
<br />California Institute of Technology Caltech, its employees, officers and directors
<br />91125 1
<br />The following Additional Insured has been associated with Additional Insured - Owners, Lessees, or
<br />Contractors - Ongoing Operations - Scheduled Person or Organization has been revised.
<br />Form SC 00 06 10 18 Page 2 of 3
<br />Process Date: 01/13/2026 © 2018, The Hartford Policy Expiration Date: 07/18/2026
<br />(May include copyrighted material of Insurance Services Office, Inc., with its permission)
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